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Sexuality and Disability
Exam 1
21
Medical
Graduate
06/25/2012

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Cards

Term
What disability is affected most when it comes to sexual activity
Definition
SCI
Term
Maleness and femaleness
Definition
Sex
Term
Kissing, hugging, caressing, fondling, and sexual intercourse
Definition
Sex acts
Term
The combination of sex drive, sex acts,a nd all aspects of personality concerned with learned communication and relationship patterns
Definition
Sexuality
Term
Name the 4 levels of sexuality/intimacy
Definition
-Conversation
-Shared activities and interests
-Expressions of affection and intimacy
-Sexual Intercourse
Term
Who is not capable of intimacy?
Definition
Comatose pts
Term
A cerebral event and therefore can be achieved by most (does not have to be physical)
Definition
Sexual satisfaction
Term
Those who have matured with a positive and healthy integration of the primary sex drive
Definition
Sexually mature
Term
Name 5 aspects of being sexually mature
Definition
1. Recognize sexuality as an integral part of one's identity
2. Realize that sexual feeling will exist whether we want them to or not
3. Accept responsibility to act in a way that does not harm others
4. Take full responsibility for preventing STDs
5. Refuses to judge others for their sexual orientation or preferences
Term
Name the 6 stages of sexual development
Definition
1. Prenatal (male/female is determined)
2. Early Childhood (learn by touching, watching how parents act)
3. Adolescence (genders realize they have different body parts)
4. Early Adulthood (choose partner, contraception)
5. Middle Adulthood (career, family, children)
6. Older Adulthood (mobility may limit sex) (attendants can help)
Term
Name the 3 basic rules of communication about sexuality
Definition
1. Prevent situations where the pt may feel shame (help pt go to bathroom, get them out of depends ASAP)
2. Maintaining privacy (close bathroom door and cover them in bed)
3. Do not judge (respect, do not put your beliefs on them)
Term
Name 7 essentials of addressing the topic of sexuality and disability
Definition
1. Establish a rapport
2. Determines basic medical and interpersonal history
3. Assess the role and nature of relationships in the patient's life
4. Determine what changes have occurred since injury or illness
5. Determine how those changes have been explained to the pt
6. Communicate in a way that questions are encouraged
7. Find out what the pt has been told and make sure they have proper info
Term
What is the PLISSIT Model?
Definition
used a lot in sex ed to allow person to know where to go
Term
What does PLISSIT stand for?
Definition
Permission
Limited
Information
Specific
Suggestions
Intensive
Therapy
Term
What happens when you enter the hospital?
Definition
You lose your identity; no makeup
Not looked at as an individual
No privacy
Term
This dz may prevent pts from sexual activity because they may be out of breath, may not be able to go prone. May require head to be elevated.
Definition
Respiratory dz
Term
How might cardiac dz affect sex
Definition
Pt may have heart attack or angina. May be scared. May have ED when on meds. May have poor circulation of their genitals
Term
How might neuro dz such as MS, Stroke, or Parkinson's affect sex?
Definition
MS ppl may be fatigues
Decrease in ROM
Increase in tone or spasticity
Mobility and positions may be difficult
Term
How might having an amputation affect sex?
Definition
Positioning, body image
Term
How might ostomies affect sex?
Definition
Body image, positional (not prone)
Term
How might severe burns affect sex?
Definition
Contractures, ROM, Body image
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